A novel non-surgical method for mild peri-implantitis- a multicenter consecutive case series

被引:19
作者
Wohlfahrt, J. C. [1 ]
Evensen, B. J.
Zeza, B. [2 ]
Jansson, H. [3 ]
Pilloni, A. [2 ]
Roos-Jansaker, A. M. [4 ,6 ]
Di Tanna, G. L. [5 ]
Aass, A. M. [1 ]
Klepp, M.
Koldsland, O. C. [1 ]
机构
[1] Univ Oslo, Inst Clin Dent, Dept Periodontol, Pb 1109 Blindern, N-0317 Oslo, Norway
[2] Sapienza Univ Rome, Sect Periodontol, Dept Dent & Maxillofacial Sci, Rome, Italy
[3] Jonkoping Univ, Sch Hlth Sci, Dept Nat Sci & Biomed, Ctr Oral Hlth, Jonkoping, Sweden
[4] Publ Dent Hlth Serv, Dept Periodontol, Kristianstad, Sweden
[5] Queen Mary Univ London, Ctr Primary Care & Publ Hlth, London, England
[6] Publ Specialist Dent Clin, Dept Periodontol, Karlskrona, Sweden
关键词
Clinical study; Chitosan; Peri-implantitis; Dental implants; Non-surgical treatment; RANDOMIZED CLINICAL-TRIAL; AIR-ABRASIVE DEVICE; ANTIMICROBIAL ACTIVITY; ORAL PATHOGENS; FOLLOW-UP; BONE LOSS; IN-VITRO; PREVALENCE; PREVENTION; MUCOSITIS;
D O I
10.1186/s40729-017-0098-y
中图分类号
R78 [口腔科学];
学科分类号
1003 ;
摘要
Aim: The aim of the present study was to evaluate the effect on peri-implant mucosal inflammation from the use of a novel instrument made of chitosan in the non-surgical treatment of mild peri-implantitis across several clinical centers. Materials and methods: In this 6-month multicenter prospective consecutive case series performed in six different periodontal specialist clinics, 63 implants in 63 patients were finally included. The subjects had mild peri-implantitis defined as radiographic bone loss of 1-2 mm, pocket probing depth (PPD) >= 4 mm and a positive bleeding on probing (mBoP) score. The patients were clinically examined at baseline and after 2, 4, 12 and 24 weeks, and radiographs were taken at baseline and at 3 and 6 months. Treatment of the implants with the chitosan brush seated in an oscillating dental drill piece was performed at baseline and at 3 months. Reductions in the clinical parameters (PPD and mBoP) were compared between baseline and the later examination time points. Results: Significant reductions in both PPD and mBoP were observed at all time points compared with the baseline clinical measurements (p < 0.001). The mean PPD and mBoP at baseline were 5.15 mm (4.97; 5.32) and 1.86 (1.78; 1.93), respectively, whereas the mean PPD and mBoP at 6 months were 4.0 mm (3.91; 4.19) and 0.64 (0.54; 0.75), respectively. Stable reductions in PPD and mBoP were evident up to 6 months after the initial treatment and 3 months after the second treatment. All 63 implants were reported to have stable radiographic levels of osseous support. Conclusions: This case series demonstrated that an oscillating chitosan brush is safe to use and seems to have merits in the non-surgical treatment of dental implants with mild peri-implantitis. To measure the effectiveness of the method, a multicenter randomized clinical trial needs to be undertaken.
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页数:8
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